Randa Duke
Acute Care · Cullman, ALNPI 1124360193
Payments from drug & device makers
Across 135 payments — averaging $16.98 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Novo Nordisk$514
- Amgen$391
- GSK$273
- Lilly USA, LLC$204
- AstraZeneca$203
- Novartis$94
- plus $613 from 18 others
What the payments were for
- Food & beverage$2,292100%
Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.
General payments by program year
Who reported the general payments
Companies are grouped under their corporate parent — a single manufacturer often files under several CMS reporting entities. Research and ownership payments are counted separately and are not in this table.
| Company | Payments | Total |
|---|---|---|
| Novo Nordisk | 29 | $514 |
| Amgen | 24 | $391 |
| GSK | 16 | $273 |
| Lilly USA, LLC | 13 | $204 |
| AstraZeneca | 13 | $203 |
| Novartis | 5 | $94 |
| Phathom Pharmaceuticals, Inc. | 4 | $79 |
| Pfizer | 4 | $73 |
| Sanofi-aventis U.S. LLC | 4 | $72 |
| Merck | 3 | $55 |
| Bayer | 3 | $48 |
| Exact Sciences | 2 | $37 |
| Dexcom, Inc. | 2 | $35 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 2 | $29 |
| Boehringer Ingelheim | 2 | $29 |
| Axsome Therapeutics, Inc. | 1 | $24 |
| Abbott | 1 | $23 |
| Mylan Specialty L.p. | 1 | $20 |
| Astellas Pharma US Inc | 1 | $19 |
| Kowa Pharmaceuticals America, Inc. | 1 | $16 |
| Currax Pharmaceuticals LLC | 1 | $15 |
| Scilex Pharmaceuticals Inc. | 1 | $14 |
| Eisai Inc. | 1 | $14 |
| Genentech USA, Inc. | 1 | $11 |
How this compares
$2,292 in reported general payments places this provider in the 80th percentile of 711 acute care providers in Alabama.
Medicare billing
What this is not: this is the amount Original Medicare Part B allowed for services this provider billed in 2024. It is not their income. It excludes Medicare Advantage — now more than half of all Medicare enrollment — along with Medicaid and all commercial insurance, and it is gross practice revenue before staff, rent, supplies and malpractice premiums. CMS also suppresses any figure covering ten or fewer patients, so low-volume providers appear smaller than they are.
Other acute care in Cullman
- Cynthia KimbroughCullman$9K
- Charles SmithCullman$9K
- Chelsey KarrCullman$8K
- Paige HarrisMontgomery$465K
- Coretta CollinsBirmingham$77K
- Debra DavisFoley$31K
- Leslie GastonMobile$22K
- Gwendolyn HooperTuscaloosa$16K
- Rachel PrytulaDothan$14K
- Jennifer UmbargerMobile$14K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Billing: Medicare Physician & Other Practitioners, data year 2024. Original Medicare Part B only.
- Identity: NPPES NPI Registry, July 2026.